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MR. DAVID JONATHAN BUTLAK CRNA
NPI 1881656189
Nurse Anesthetist, Certified Registered in Statesville, NC

Active since April 04, 2006Accepts Medicare Assignment
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625(704) 838-7570 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. David Jonathan Butlak Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID JONATHAN BUTLAK CRNA (NPI 1881656189) is an individual nurse anesthetist, certified registered in Statesville, North Carolina, licensed in North Carolina (160852) and active in the NPI registry since April 2006. He is affiliated with Atrium Health Pineville and is a graduate of Other (2000).

NPPES Registry Identity

NPI1881656189
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. DAVID JONATHAN BUTLAKCredential: CRNA
Location Address218 OLD MOCKSVILLE RDStatesville, NC 28625-1930
Mailing Address200 Whiterock DrMount Holly, NC 28120-8101 · (704) 326-6886
Phone(704) 838-7570
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 4, 2006
Last NPPES UpdateFebruary 28, 2011
✔ NPI 1881656189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NC · 160852✔ Licensed in SC · 2690
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
218 OLD MOCKSVILLE RD, Statesville, NC 28625
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Other Identifiers 2

MedicaidAN1433SC
Medicare PINQ339723365SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David Jonathan Butlak Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719928712
PECOS Enrollment IDI20050519001000

Medicare Billing Reassignments

5

Medicare enrollment records show David Butlak reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Anesthesia Associates PA
3.3 mi
Anesthesiology
646 HARTNESS ROAD
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 194 clinicians in this Medicare group
NPI 1699723791 (704) 871-0081
Charlotte Gastroenterology & Hepatology, PLLC
29 mi
Gastroenterology
13808 PROFESSIONAL CENTER DR
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1851548655 (North Carolina), NPI 1619124401 (North Carolina)
  • 89 clinicians in this Medicare group
NPI 1730100801 (704) 377-4009
Chs Anesthesia Services Group Inc
36 mi
Anesthesiology
8800 N TRYON ST
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,212 clinicians in this Medicare group
NPI 1346649415 (704) 863-6000
Carolina Regional Anesthesia PLLC
88 mi
Nurse Anesthetist, Certified Registered
205 PAGE RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 196 clinicians in this Medicare group
NPI 1891072609 (800) 951-7580
East Carolina Anesthesia Associates, PLLC
193 mi
Anesthesiology
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,097 clinicians in this Medicare group
NPI 1205996519 (252) 847-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
106 services106 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
45 services45 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
38 services38 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Hospitalist
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
RIVER REGION PSYCHIATRY ASSOCIATES LLC
Psychiatry & Neurology (Psychiatry)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
SARAH HANKS DNP, PMHNP-BC
Nurse Practitioner
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
MARK B WILLIAMSON, MD PA
Orthopaedic Surgery
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 838-7091
MR. SCOTT M RHODES PT
Physical Therapist
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 838-7620
MEGAN W OXENTINE AGPCNP
Nurse Practitioner (Primary Care)
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281
STATESVILLE HMA LLC
General Acute Care Hospital
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 838-7102
MR. RODNEY LEONARD MCKNIGHT JR. CRNA
Nurse Anesthetist, Certified Registered
218 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Iredell County (704) 873-0281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Butlak's NPI number?

The NPI number for David Butlak is 1881656189. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is David Butlak located?

David Butlak practices at 218 Old Mocksville Rd, Statesville, NC 28625. The listed phone number is (704) 838-7570.

What is David Butlak's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is David Butlak enrolled in Medicare?

Yes. David Butlak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Butlak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Butlak reassigns Medicare benefits to 5 organizations: Carolina Anesthesia Associates PA (Statesville, NC), Charlotte Gastroenterology & Hepatology, PLLC (Huntersville, NC), Chs Anesthesia Services Group Inc (Charlotte, NC), Carolina Regional Anesthesia PLLC (Pinehurst, NC) and East Carolina Anesthesia Associates, PLLC (Greenville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Butlak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Butlak accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list David Butlak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Butlak affiliated with any hospitals?

According to CMS data, David Butlak is affiliated with Atrium Health Pineville.

When was this NPI record last updated?

The NPPES record for David Butlak was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.